MRS. Tracie J. Corle, LPC

NPI #1922357672 in Twin Falls, Idaho

Provider Information

NPI Number
1922357672
Entity Type
Individual
Name
MRS. Tracie J. Corle, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Sep 7, 2012
Last Updated
Sep 7, 2012

Practice Location

Address
834 FALLS AVE STE 1050
State
Idaho
ZIP Code
83301-3363
Phone
(208) 736-0995

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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